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Medical Billing Specialist

United States, Aloha · Job Posted May 26, 2026
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Job Description

We are looking for a Medical Billing Specialist to support a Contract opportunity in Aloha, Oregon. This role focuses on accurate billing operations, insurance-related coordination, and claim resolution within a mission-driven behavioral health setting. The ideal candidate brings prior medical billing experience, knowledge of Medicare or Medicaid processes, and a thoughtful, service-oriented communication style suited to a non-profit environment.

Job Responsibility

  • Manage billing activities by preparing, reviewing, and submitting medical claims with a strong focus on accuracy and timeliness
  • Confirm insurance coverage and determine benefit eligibility before services are billed to help reduce denials and payment delays
  • Investigate unpaid or denied claims, communicate with payers as needed, and take corrective action to secure reimbursement
  • Coordinate authorization-related billing support for varying levels of care, including CareOregon-related processes when applicable
  • Maintain complete and organized billing records in designated systems such as Credible and Qualifacts
  • Assist with medical collections follow-up and other billing support duties based on team priorities and workload demands
  • Work collaboratively with internal staff to address claim issues while delivering attentive and empathetic communication
  • Monitor account status and identify discrepancies so billing concerns can be resolved efficiently
  • Contribute to daily revenue cycle activities in alignment with compliance standards and organizational procedures

Requirements

  • Previous experience in medical billing is required
  • Working knowledge of Medicare or Medicaid billing practices is strongly preferred
  • Experience handling insurance verification, medical claims, and claim follow-up is required
  • Familiarity with medical collections and payer communications is preferred
  • Proficiency with billing platforms such as Credible and Qualifacts is helpful
  • Ability to review detailed information carefully and maintain accuracy across multiple tasks
  • Strong interpersonal skills with a calm, respectful approach suited to a behavioral health or non-profit setting
  • Ability to manage responsibilities independently while supporting a collaborative team environment

What we offer

  • medical
  • vision
  • dental
  • life and disability insurance
  • 401(k) plan

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